237600000X
Philadelphia, PA
Specialty
237600000X
Credential
MSPA CCC
NPI
1154392876
9500 Roosevelt Blvd, Philadelphia, PA 19115
(215) 969-1048Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 237600000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 237600000X